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1285466474
MARISSA CASEY SHEPARD
BERKELEY, CA
NPI
1285466474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT147832)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
MARISSA CASEY SHEPARD
3200 ADELINE ST
BERKELEY, CA 94703-2407
Phone number: 510-601-0203
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Mailing Address
MARISSA CASEY SHEPARD
3200 ADELINE ST
BERKELEY, CA 94703-2407
Phone number: 510-601-0203
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